山东省男男性行为人群卫生服务利用现状及影响因素分析

目的 了解山东省男男性行为人群(MSM)卫生服务利用现状并探讨其影响因素,为后续艾滋病防治干预提供参考依据.方法 于2021年1月—6月在山东省烟台市、威海市、滨州市3个地区进行匿名调查,收集有效问卷1126份,并采用多元logistic回归模型探讨影响MSM接受预防艾滋病服务及艾滋病病毒(HIV)暴露后预防用药的因素...

Health service utilization among men with MSM in Shandong Province and its influencing factors

Objective To investigate the health service utilization among men who have sex with men(MSM)in Shandong Province and explore its influencing factors,so as to provide evidence to prevent and treat HIV/AIDS in the future.Methods An anonymous survey was conducted in three cities(Yantai,Weihai,and Binzhou)of Shandong Province from January to June 2021,and 1,126 valid questionnaires were collected.A multivariate Logistic regression model was used to explore the factors influencing MSM’s uptake of HIV prevention interventions and post-exposure prophylaxis(PEP)for HIV.Results Among the 1,126 MSM who had had sex in the last six months,893(79.31%)used condoms and 996(88.45%)received testing regularly.Their knowledge about HIV/AIDS was mainly acquired from the Internet(n=943,83.75%),dating software(n=931,82.68%),and counseling services(n=761,67.58%).Notably,995(88.37%)had received HIV prevention services,and 461(40.94%)had received HIV PEP.Univariate analysis showed that there were statistically significant differences in age,monthly income,sexual orientation,regular sexual partners,commercial sexual behavior,sex after drinking,condom use during sex in the past 6 months,and HIV/AIDS literacy among MSM in Shandong Province who had received HIV prevention services(all P<0.05).In addition,there were also statistically significant differences in age,spouse,household registration,education,monthly income,sexual orientation,regular sexual partners,no commercial sexual behavior,sex after drinking,condom use during sex in the past 6 months,and HIV/AIDS literacy among MSM who had received HIV PEP(all P<0.05).Multivariate Logistic regression analysis showed that MSM with no regular sexual partners,no condom use during sex in the last 6 months,and no HIV literacy were less likely to receive HIV prevention interventions.MSM who had no spouse,being homosexual,with regular partners,no commercial sexual behavior,no sex after drinking,using condom during sex in the last 6 months,and with HIV literacy were more likely to receive HIV PEP.Conclusions MSM in Shandong Province have a high utilization rate of HIV prevention interventions but a low rate of HIV PEP.Publicity activities on the importance of HIV PEP,lowering price of the related drugs,and increasing access to HIV prevention drugs may help increase the utilization rate of health services and reduce the risk of HIV/AIDS transmission.